College and university counseling centers have maintained core practices of advanced scheduling, thorough psychosocial assessment before treatment, and traditional 50-minute psychotherapy sessions since their inception in the mid-late 1900s. This approach has become challenged in the current university mental health landscape, which has seen a…

For several decades, college counseling centers have struggled to meet a steady rise in demand for services. Research suggests that therapeutic advancements, including psychotropic medication, have led to an increase in students with serious mental illnesses who now represent a significant portion of this demand. Current strategies to meet the…

With the rise in demand for mental health services on college and university campuses, counseling centers have engaged in numerous creative methods to expand services to meet these increasing demands. One approach within campus counseling centers, with promise, is embedded therapists. Despite the increasing application of embedded therapists,…

Among the 20 million students nationwide enrolled in colleges in the fall of 2019, one-third were first-generation college students (FGCS). The college years spark life transitions for all students, but for FGCS, there are additional challenges and barriers in mental health-seeking and treatment. Hence, the treatment attrition rate is high once…

While stigma is a complex, multidimensional concept, research regarding mental illness stigma has not been clearly defined or consistently measured across studies, thus limiting the broad application of this research. The current study examined the relationship between several dimensions of public stigma and treatment utilization for mental…

The purpose of this qualitative study was to explore the homecoming and college transition narratives constructed by student veterans in order to help college clinicians a) to more holistically understand these veterans and their experiences, b) to more fully enter their phenomenological worlds, and c) to form more genuine and effective…

This article describes the design and implementation of an embedded therapy dog program through the counseling center at West Chester University of Pennsylvania. This program involves having a certified therapy dog present in the counseling center, in the waiting area, during counseling appointments, and during group therapy. It is discussed the…

To address the urgent need of mental health services on college campuses, particularly for historically marginalized students in HWIs (Historically White Institutions), the current paper presents a model of embedded counseling within campus cultural centers. Embedded counseling refers to having a mental health provider co-located and delivering…

Despite advances in suicide risk assessment and intervention, evidence-based suicide prevention training for university health service providers is still lacking. This study evaluated the core competency model of suicide prevention training for an interdisciplinary sample of university counseling and student health providers (N = 21). Training was…

The authors outline a four-factor model and philosophy for college mental health services that addresses the loss of comprehensiveness in some centers due to changes in organizational structure. Given research on demand for services and retention of those seen in centers, emphasis is placed in particular upon the value of consultation, outreach,…

Addressing the need for suicide prevention on campus, I CARE training, developed and facilitated by counseling center clinicians, trains students, staff, and faculty to provide support to students experiencing distress or mental health problems. We assessed its impact using a mixed-methods approach. Quantitative analyses demonstrated significant…

Borderline personality disorder (BPD) is a prevalent psychiatric illness that often first presents at college. If left untreated, BPD can lead to severe disability or fatality. While multiple evidence-based treatments for BPD exist, most are resource intensive and, therefore, difficult to implement at the typical college mental health center.…

Online self-help may help increase the reach of mental health services for college students, but little research has examined students' actual interest/use of these resources. An online survey of 389 college students examined intentions and use of online mental health resources as compared with other support options. Findings indicated the highest…

The formation of integrated centers on college campuses that combine health services and counseling provide clear advantages for students. There is currently no "best practices" model that informs integrated centers' operational procedures. The "continuity of care" requirement of medical providers can conflict with the strict…

In recent years psychiatric medications have been prescribed for college students and the general public in burgeoning numbers. The vast majority of these prescriptions are written by non-psychiatrists. In the opinion of the author, psychiatric prescriptions are too often written under duress by physicians seeking a quick fix for distressed…